Active NPI
Jason Lepage, PT, DPT
- Orthopedic Physical Therapist
- Pawtucket, RI
National Provider Identifier
1821987686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT03745
- Practice address
- 1005 Main St Unit 2201
Pawtucket, RI 02860-7809 - Phone
- (401) 644-3429
- NPI assigned
- Jun 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT03745 | RI | Primary |
Addresses
Primary practice location
1005 Main St Unit 2201
Pawtucket, RI 02860-7809
Mailing address
32 Becker Ave
Riverside, RI 02915-1902
Phone (401) 644-3429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT03745 | RI | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1821987686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 BECKER AVE",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029151902",
"telephone_number": "401-644-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 MAIN ST UNIT 2201",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028607809",
"telephone_number": "401-644-3429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPAGE",
"first_name": "JASON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-28",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "RI",
"license": "PT03745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.